Article

Journal of Child and Family Studies

, Volume 14, Issue 2, pp 207-222

Accuracy of a Rationally Derived Method for Identifying Treatment Failure in Children and Adolescents

  • Matthew J. BishopAffiliated withClinical Psychology Trainee, Department of Psychology, Brigham Young University
  • , Taige S. BybeeAffiliated withClinical Psychology Trainee, Department of Psychology, Brigham Young University
  • , Michael J. LambertAffiliated withDepartment of Psychology, Brigham Young UniversityDepartment of Psychology, Brigham Young University Email author 
  • , Gary M. BurlingameAffiliated withDepartment of Psychology, Brigham Young University
  • , M. Gawain WellsAffiliated withDepartment of Psychology, Brigham Young University
  • , Landon E. PoppletonAffiliated withClinical Psychology Trainee, Department of Psychology, Brigham Young University

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Abstract

Psychotherapy outcome can be enhanced by early identification of potential treatment failures before they leave treatment. In adults, compelling data are emerging that provide evidence that an early warning system that identifies potential treatment failures can be developed and applied to enhance outcome. The present study reports an analysis of early warning algorithms to identify treatment failures among child/adolescent patients (ages 3–18). The progress of 300 patients who had completed treatment was analyzed to see if algorithms could identify those children who ultimately had a negative outcome. Results indicated that the rationally derived method had a 77% success rate for identifying child/adolescent patients who were reliably worse or had deteriorated by the time that therapy was terminated.

Keywords

treatment failure deterioration youth outcome questionnaire outcome monitoring decision support tools